Analysis of Total Ankle Arthroplasty Survival in the United States Using Multiple State Databases
Autor: | Scott J. Ellis, Huong T. Do, Jeremy M. LaMothe, Christine M. Seaworth, Grace C. Kunas |
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Rok vydání: | 2016 |
Předmět: |
Adult
Male medicine.medical_specialty Databases Factual Joint Prosthesis Ankle arthritis Joint prosthesis computer.software_genre Arthroplasty Replacement Ankle Young Adult 03 medical and health sciences 0302 clinical medicine Physical medicine and rehabilitation Survivorship curve medicine Humans Orthopedics and Sports Medicine Podiatry Young adult Aged Aged 80 and over 030203 arthritis & rheumatology 030222 orthopedics Database business.industry Middle Aged United States Patient Outcome Assessment Total ankle arthroplasty Physical therapy Female Surgery business computer |
Zdroj: | Foot & Ankle Specialist. 9:336-341 |
ISSN: | 1938-7636 1938-6400 |
Popis: | The aim of this study was to evaluate survivorship and risk factors for failure of total ankle arthroplasty (TAA) in the United States using large statewide, multipayer databases of inpatient discharges. TAA patients from 2005 to 2009 were identified from the Healthcare Cost and Utilization Project databases for 5 states (California, Florida, Nebraska, North Carolina, and Utah) and the New York Department of Health Statewide Planning and Research Cooperative System database. Patient demographics and clinical characteristics were extracted, and a multivariable logistic regression model was developed to assess risk factors for 90-day all-cause readmission and failure. Failure was defined as revision, arthrodesis, amputation, or implant removal. During the period of interest, 1545 patients received 1593 TAA. The coded etiology of arthritis was primary osteoarthritis (n = 854, 55.2%), posttraumatic arthritis (n = 466, 30.2%), rheumatoid arthritis (n = 129, 8.4%), and other (n = 96, 6.2%). The 5-year survival rate was 90.1%. Patients with a coded diagnosis of rheumatoid arthritis (odds ratio [OR] = 2.18; 95% confidence interval [CI] = 1.04-4.01) or who were readmitted within 90 days of TAA (OR = 3.41; 95% CI = 1.67-6.97) had significantly increased risk of failure. Risk factors for readmission were Charlson-Deyo Score ≥2 (OR = 3.05; 95% CI = 1.51-6.15) and increased length of stay during the arthroplasty (OR = 1.30; 95% CI = 1.16-1.47). Levels of Evidence: Therapeutic, Level IV: Observational study |
Databáze: | OpenAIRE |
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